rs2915954

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000540.3(RYR1):​c.8541+54A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.257 in 1,479,342 control chromosomes in the GnomAD database, including 60,377 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.32 ( 8434 hom., cov: 29)
Exomes 𝑓: 0.25 ( 51943 hom. )

Consequence

RYR1
NM_000540.3 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2O:1

Conservation

PhyloP100: -2.60

Publications

5 publications found
Variant links:
Genes affected
RYR1 (HGNC:10483): (ryanodine receptor 1) This gene encodes a ryanodine receptor found in skeletal muscle. The encoded protein functions as a calcium release channel in the sarcoplasmic reticulum but also serves to connect the sarcoplasmic reticulum and transverse tubule. Mutations in this gene are associated with malignant hyperthermia susceptibility, central core disease, and minicore myopathy with external ophthalmoplegia. Alternatively spliced transcripts encoding different isoforms have been described. [provided by RefSeq, Jul 2008]
RYR1 Gene-Disease associations (from GenCC):
  • malignant hyperthermia, susceptibility to, 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp, Ambry Genetics
  • congenital multicore myopathy with external ophthalmoplegia
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp
  • RYR1-related myopathy
    Inheritance: AR, AD Classification: DEFINITIVE Submitted by: ClinGen
  • central core myopathy
    Inheritance: AD, AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp
  • King-Denborough syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • malignant hyperthermia of anesthesia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • autosomal recessive centronuclear myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • benign Samaritan congenital myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital myopathy with myasthenic-like onset
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • lethal multiple pterygium syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.84).
BP6
Variant 19-38506000-A-G is Benign according to our data. Variant chr19-38506000-A-G is described in ClinVar as [Benign]. Clinvar id is 133229.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.441 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RYR1NM_000540.3 linkc.8541+54A>G intron_variant Intron 54 of 105 ENST00000359596.8 NP_000531.2 P21817-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RYR1ENST00000359596.8 linkc.8541+54A>G intron_variant Intron 54 of 105 5 NM_000540.3 ENSP00000352608.2 P21817-1

Frequencies

GnomAD3 genomes
AF:
0.324
AC:
48749
AN:
150678
Hom.:
8397
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.428
Gnomad AMI
AF:
0.260
Gnomad AMR
AF:
0.354
Gnomad ASJ
AF:
0.256
Gnomad EAS
AF:
0.358
Gnomad SAS
AF:
0.457
Gnomad FIN
AF:
0.286
Gnomad MID
AF:
0.318
Gnomad NFE
AF:
0.251
Gnomad OTH
AF:
0.334
GnomAD4 exome
AF:
0.249
AC:
331117
AN:
1328542
Hom.:
51943
AF XY:
0.256
AC XY:
170086
AN XY:
664558
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.414
AC:
12428
AN:
30018
American (AMR)
AF:
0.385
AC:
16689
AN:
43358
Ashkenazi Jewish (ASJ)
AF:
0.242
AC:
6115
AN:
25224
East Asian (EAS)
AF:
0.332
AC:
12840
AN:
38632
South Asian (SAS)
AF:
0.438
AC:
35711
AN:
81500
European-Finnish (FIN)
AF:
0.285
AC:
13763
AN:
48268
Middle Eastern (MID)
AF:
0.307
AC:
1282
AN:
4182
European-Non Finnish (NFE)
AF:
0.217
AC:
217086
AN:
1001598
Other (OTH)
AF:
0.273
AC:
15203
AN:
55762
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.396
Heterozygous variant carriers
0
10169
20337
30506
40674
50843
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
6788
13576
20364
27152
33940
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.324
AC:
48848
AN:
150800
Hom.:
8434
Cov.:
29
AF XY:
0.331
AC XY:
24360
AN XY:
73604
show subpopulations
African (AFR)
AF:
0.429
AC:
17587
AN:
40980
American (AMR)
AF:
0.354
AC:
5369
AN:
15170
Ashkenazi Jewish (ASJ)
AF:
0.256
AC:
882
AN:
3452
East Asian (EAS)
AF:
0.357
AC:
1816
AN:
5090
South Asian (SAS)
AF:
0.457
AC:
2173
AN:
4752
European-Finnish (FIN)
AF:
0.286
AC:
2986
AN:
10436
Middle Eastern (MID)
AF:
0.315
AC:
92
AN:
292
European-Non Finnish (NFE)
AF:
0.251
AC:
16996
AN:
67620
Other (OTH)
AF:
0.339
AC:
710
AN:
2096
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
1427
2854
4280
5707
7134
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
482
964
1446
1928
2410
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.287
Hom.:
765
Bravo
AF:
0.332
Asia WGS
AF:
0.483
AC:
1671
AN:
3470

ClinVar

Significance: Benign
Submissions summary: Benign:2Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2Other:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

-
RYR1 database
Significance:not provided
Review Status:no classification provided
Collection Method:literature only

- -

Jun 14, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.84
CADD
Benign
0.17
DANN
Benign
0.85
PhyloP100
-2.6
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs2915954; hg19: chr19-38996640; API